DAFTAR ISI

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HALAMAN JUDUL....................................................................................................i
LEMBAR PENGESAHAN........................................................................................ii
KATA PENGANTAR................................................................................................iii
DAFTAR ISI...............................................................................................................iv
DAFTAR GAMBAR...................................................................................................v
DAFTAR TABEL......................................................................................................vi
DAFTAR GRAFIK .................................................................................................vii
DAFTAR LAMPIRAN.............................................................................................vii
BAB I PENDAHULUAN
1.1 Latar Belakang......................................................................................1
1.2 Identifikasi Masalah..............................................................................4
1.3 Tujuan Penelitian..................................................................................4
1.4 Manfaat Penelitian................................................................................4
BAB II TINJAUAN PUSTAKA
2.1 Hipertensi.............................................................................................5
2.1.1 Definisi......................................................................................5
2.1.2 Klasifikasi.................................................................................5
2.1.3 Epidemiologi.............................................................................6
2.1.4 Etiologi dan Faktor Resiko........................................................6
2.1.5 Patogenesis................................................................................7
2.1.6 Komplikasi..............................................................................12
2.1.7 Diagnosis.................................................................................16
2.1.8 Tatalaksana..............................................................................19
2.2 Kepatuhan............................................................................................27
2.2.1 Definisi....................................................................................27
 2.2.2 Faktor- Faktor yang Berkaitan dengan Kepatuhan...................9
2.2.3 Metode Pengukuran Tingkat Kepatuhan.................................28
BAB III METODOLOGI PENELITIAN
3.1 Desain Penelitian.................................................................................30
3.2 Kriteria Seleksi....................................................................................30
3.3 Variabel dan Definisi Operasional......................................................30
3.4 Jenis Penelitian....................................................................................32
3.5 Instrumen Penelitian............................................................................32
3.6 Prosedur Penelitian..............................................................................33
3.7 Pengumpulan dan Pengolahan Data....................................................33
3.8 Aspek Etika.........................................................................................35
BAB IV HASIL PENELITIAN DAN PEMBAHASAN
4.1 Hasil Penelitian...................................................................................36
4.1.1 Karakteristik Sosiodemografi Sampel Penelitian....................37
4.1.2 Karakteristik Klinis Sampel Penelitian...................................38
4.1.3 Tingkat Kepatuhan Penggunaan Obat.....................................40
4.2 Pembahasan.........................................................................................43
4.4 Keterbatasan Penelitian.......................................................................53
BAB V PENUTUP
5.1 Kesimpulan..........................................................................................54
5.2 Saran....................................................................................................54
DAFTAR PUSTAKA
LAMPIRAN
 DAFTAR GRAFIK

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Grafik 4.1. Tingkat Kepatuhan Penggunaan Obat berdasarkan 8 pertanyaan

Morisky Medication Adherence Scale-8 (MMS-
8)..........................................................................................................44
Grafik 4.2. Data Pertanyaan mengenai Lupa Meminum Obat..............................44
Grafik 4.2. Data Pertanyaan mengenai Lupa Meminum Obat..............................44
Grafik 4.3. Frekuensi Lupa Meminum Obat.........................................................44
Grafik 4.4. Data Pertanyaan mengenai Lupa Membawa Obat ssat
Perjalanan............................................................................................45
Grafik 4.5. Data Pertanyaan mengenai Tidak Meminum Obat dalam 2 Minggu
Terakhir...............................................................................................46
Grafik 4.6. Data Pertanyaan mengenai Meminum Seluruh Obat Hari Kemarin...47
Grafik 4.7. Data Pertanyaan mengenai Menghentikan Pengobatan karena Kondisi
Tidak Nyaman.....................................................................................47
Grafik 4.8. Data Pertanyaan mengenai Rasa Terganggu karena Meminum Obat
Setiap Hari...........................................................................................48
Grafik 4.9. Data Pertanyaan mengenai Menghentikan Pengobatan saat Kondisi
Membaik..............................................................................................50
Grafik 4.10. Tingkat Kepatuhan Penggunaan Obat Antihipertensi.........................51
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Tabel 2.1. Klasifikasi Menurut Joint National Committee VII

(2003).............................................................................................17
Tabel 2.2. Pemeriksaan yang Direkomendasikan pada Evaluasi Awal pada
Pasien Hipertensi............................................................................19
Tabel 2.3. Jenis Antihipertensi Oral................................................................26
Tabel 3.1. Definisi Operasional Variabel Penelitian Tingkat Kepatuhan
Penggunaan Obat Antihipertensi pada Pasien Hipertensi di
Wilayah Kerja Puskesmas Gogagoman Kota
Kotamobagu...................................................................................31
Tabel 3.2. Skoring Medication Adherence Scale-8 (MMS-
8)....................................................................................................34
Tabel 3.3. Klasifikasi Tingkat Kepatuhan Penggunaan Obat.........................35
Tabel 4.1. Karakteristik Sosiodemografi Sampel Penelitian...........................37
Tabel 4.2. Karakteristik Klinis Sampel Penelitian..........................................38
Tabel 4.3. Pertanyaan Gambaran Kepatuhan Obat antihipertensi Berdasarkan
Penilaian Medication Adherence Scale-8 (MMS-
8)....................................................................................................40
Tabel 4.4. Gambaran Kepatuhan Obat antihipertensi Berdasarkan Penilaian
Medication Adherence Scale-8 (MMS-
8)....................................................................................................42
Tabel 4.5. Persentase Tingkat Kepatuhan Penggunaan Obat berdasarkan 8
pertanyaan Morisky Medication Adherence Scale-8 (MMS-
8)....................................................................................................42
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Gambar 2.1. Faktor- Faktor yang Berpengaruh pada Pengendalian Tekanan

Darah................................................................................................8
Gambar 2.2. Alogaritma Tatalaksana Hipertensi berdasarkan JNC VIII...........23
Gambar 2.3. Nefron dan Tempat Kerja Berbagai Tipe Agen Diuretika.............24
 DAFTAR LAMPIRAN

Lampiran 1. Kuesioner Penelitian

Lampiran 2. Dokumentasi Penelitian